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. Author manuscript; available in PMC: 2022 Apr 1.
Published in final edited form as: Support Care Cancer. 2020 Sep 8;29(4):2231–2238. doi: 10.1007/s00520-020-05733-1

Table 1:

Proposed risk classification based on dental status

Class I – Low Risk Class II – Moderate Risk Class III – High Risk
Caries Evaluation
 • No caries
 • Incipient caries – enamel or early dentin lesions
AND
 • Asymptomatic
Evaluation
 • Dentinal caries with no pulp involvement
AND
 • Asymptomatic
 • No periapical radiolucency
Evaluation
 • Gross caries near pulp/pulpal involvement
AND
 • Symptomatic
 • +/− Periapical radiolucency
Treatment
 • No treatment or observe
Treatment
 • Restore or observe
Treatment
 • Endodontic therapy
 • Extraction
Periapical Status Evaluation
 • No periapical radiolucency
 • Asymptomatic
Evaluation
 • Periapical radiolucency
 • Asymptomatic
Evaluation
 • Periapical radiolucency
 • Symptomatic
Treatment
 • No treatment
Treatment
 • Based on case by case clinical judgment
Treatment
 • Endodontic therapy
 • Extraction
Third Molar Status Evaluation
 • Extracted or erupted
AND
 • Asymptomatic
Evaluation
 • Partially erupted, unerupted or impacted
AND
 • Asymptomatic
Evaluation
 • Partially erupted, unerupted or impacted
AND
 • Symptomatic
Treatment
 • No treatment
Treatment
 • Prophylaxis
 • Extra soft brushes
 • Irrigation syringes
Treatment
 • Extraction
 • Local treatment – Prophylaxis, extra soft brushes, Chlorhexidine 0.12% irrigation, systemic antibiotic operculectomy
Periodontal Status Evaluation
 • Oral hygiene excellent or good
 • No or mild gingivitis
 • No or mild periodontitis
 • Asymptomatic
Evaluation
 • Oral hygiene fair
 • Mild or moderate gingivitis
 • Moderate periodontitis
 • Asymptomatic
Evaluation
 • Oral hygiene poor
 • Severe gingivitis
 • Advanced periodontitis
 • Symptomatic
Treatment
 • No treatment or prophylaxis
 • Extra soft brushes
Treatment
 • Prophylaxis
 • Extra soft brushes
Treatment
 • Extraction
 • Prophylaxis / SRP
 • Extra soft brushes

(SRP: Scaling and root planing)